Provider Demographics
NPI:1528800174
Name:POPA, ALEXANDRU PAUL (LCMHCA)
Entity type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:PAUL
Last Name:POPA
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7200
Mailing Address - Country:US
Mailing Address - Phone:919-619-7025
Mailing Address - Fax:
Practice Address - Street 1:705 PENINSULA DR
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7200
Practice Address - Country:US
Practice Address - Phone:919-619-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health